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[Ligation of the hypogastric arteries. Analysis of 4000 cases]
E Torreblanca Neve1, G Merchan Escalante, M A Walter Tordecillas
1Hospital de Gineco-Obstetricia No. 4 Luis Castelazo Ayala, IMSS, México, D.F.
Insights
Hypogastric artery ligation effectively controls hemorrhage in complex cases. Prompt intervention, proper patient selection, and surgical technique are crucial for successful outcomes in patients with prior treatments.
Area of Science:
- Vascular surgery
- Surgical oncology
- Gynecologic oncology
Context:
- Hemorrhage control in patients with prior extensive management.
- Evaluation of hypogastric artery ligation as a secondary intervention.
- Analysis of 400 selected patients with complex pathologies.
Purpose:
- To present 10 years of experience with hypogastric artery ligation for hemorrhage control.
- To analyze the efficacy, complications, and outcomes of this secondary procedure.
- To identify factors influencing the success of hypogastric artery ligation.
Summary:
- Hypogastric artery ligation was performed on 400 patients with prior multiple treatments for hemorrhage control.
- Pathology, risk factors, and indications were analyzed, along with surgical technique, complications, and sequelae.
- A 2-year follow-up was conducted on 63.5% of patients, revealing a 1% adjusted mortality rate.
Impact:
- The study highlights the efficacy of hypogastric artery ligation when performed promptly with adequate indication and technique.
- Findings are crucial for surgical decision-making in managing refractory pelvic hemorrhage.
- This research contributes to understanding the role of secondary hypogastric artery ligation in complex surgical scenarios.
Abstract:
Experience of 10 years is presented on hypogastric artery ligation as a secondary resource for the hemorrhage control on a selected group of 400 patients; those who have had a previous multiple management to the procedure. The pathology type is shown, risk groups and the problems that conditioned the indication. Surgical technique is analyzed, its complications and secueles; with a follow up of 2 years to 63.5%. Depurated mortality was of 1%. It is concluded that the procedure efficacy depends on it's prompt realization, adequate indication and good technique.